A Healthcare Pilgrim's Progress

2020 ◽  
Vol 25 (4) ◽  
Author(s):  
Peter Pitts

Progress is both a noun (forward or onward movement toward a destination) and a verb (to move forward or onward in space or time). Innovation is a noun (the action or process of innovating). They aren’t synonyms. When it comes to the future of healthcare, which is more important? Innovation enables change that maintains an ecosystem. Progress changes the ecosystem. Many new biopharmaceuticals and medical devices are innovative. They can improve both quality of care and quality of life, but do not always represent true progress. Perhaps we need a healthcare technology continuum that considers the value of an innovation (a new molecule, a newly identified receptor, gene therapy, etc.) in the context of progress. Rather than “value-based HTA” we should be thinking about “progress-based HTA.  It’s worth repeating that the terms “innovation” and “progress” have separate and distinct meanings. They are, like many generic drugs and biologics, not interchangeable.  

Author(s):  
María- José Foncubierta-Rodriguez ◽  
Rafael Ravina-Ripoll ◽  
Eduardo Ahumada-Tello ◽  
Luis Bayardo Tobar-Pesantez

Since the end of the 20th century, economists have been attracted to the study of the economics of happiness (e.g., Singh, & Alexandrova, 2020; Crespo & Mesurado, 2015; Ferrer-i-Carbonell,2013). The use of the term happiness characterizes an essential volume of this bibliographical production as a synonym for the words satisfaction, well-being, or quality of life (Teixeira&Vasque, 2020; Carlquist et al., 2017). Under this umbrella, the culture of happiness management teaches us that a management model or direction oriented to the holistic search for happiness or job satisfaction of its employees is one of the essential axial pieces that organizations have to increase the commitment of their human capital, and therefore, their productivity and business performance (Ravina et al., 2019). Public administration employees are not exempt from this reality, a group that is characterized by job stability compared to private company employees. This article is dedicated to them. The era of Industry 4.0 is a period that is characterized, among other things, by the high precariousness of labor that is originated by the implementation of management models in advanced economies. This phenomenon is derived from the technological point of view by the automation and massive robotization of production processes and the supply chain. Together with the digitalization of companies, both factors are very present in the ecosystems of the Covid-19, and have come, perhaps, to stay in the future (Bragazzi, 2020; Ghadge et al., 2020). In line with the above, a more holistic examination of this issue seems likely to show that there is a keen interest among people to enter into Work mostly in public administrations, in search of a permanent contract for their entire working life. As is known, this is especially true in countries with high unemployment levels, such as Spain. Its unemployment rate is 20.1% in mid-2020. In the collective imagination of these individuals, there is the conviction that this type of Work constitutes ambrosia of eudaimonic happiness, job security, and quality of life, especially at present, in times of the Covid-19 pandemic (Fernández-Urbano, & Kulic, 2020). In this sense, it should be noted that in the last decades of the 21st century, there has been a growing interest in researching public employees' job satisfaction (e.g., Ryu&Bae, 2020; Steijn &Van der Voet, 2019; Luechinge et al., 2010). Most of the studies carried out on this scientific topic to date show empirically that public sector workers are happier than individuals in the private sphere. It's basically due to the intrinsic benefits (flexibility, vacation, or family reconciliation, among others) that this type of government entity offers concerning for-profit organizations (e.g., Lahat&Ofek, 2020; Sánchez-Sánchez, & Puente, 2020; Danzer,2019). In this context, this article aims to examine, as a priority in the era of Industry 4.0, whether there are observed differences in the levels of congratulations between human capital working in the private sector and that working in the public sector in Spain, by analyzing a set of variables that define positions: hours, salary, stability, promotion, and stress. Finally, we must indicate, on the one hand, that the choice of this spatial framework is motivated by the scarce literature investigating the happiness of Spanish public employees in an economy with high levels of youth unemployment (Núñez-Barriopedro et al., 2020). On the other hand, the results achieved in this study may be useful in the future for the implementation of public policies aimed at significantly promoting the welfare of working citizens through the happiness management approach (Ravina-Ripoll et al., 2019), or for taking this management concept to private companies to increase the motivation of their employees (Foncubierta-Rodríguez & Sánchez-Montero, 2019). Keywords: Happiness, human resources, Industry 4.0, public sector.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 153-154
Author(s):  
Afeez Hazzan

Abstract Dementia is one of the most rapidly growing diseases in the United States. In 2018, the direct costs to American society of caring for older people with dementia was approximately $277 billion. Primary informal caregivers are mainly responsible for the care of older people with dementia including Alzheimer’s disease. Caregivers perform a myriad of duties ranging from shopping for their loved ones’ groceries, helping with medications, and managing finances. The caregiving role becomes more demanding as the disease progresses over time, and studies have shown that the quality-of-life (QoL) experienced by caregivers of older adults who have dementia is lower than the QoL of caregivers for older people who do not have dementia. To the best of our knowledge, there has been no research conducted to investigate whether lower caregiver QoL affects the level or quality of care that caregivers provide to persons with dementia. In the current study, we interviewed family caregivers living in Rochester, New York to inquire about their quality of life and the care provided to older people living with dementia. Further, caregivers completed the 36-item Short Form Health Survey (SF-36) as well as a draft questionnaire for measuring the quality of care provided to older people living with dementia. Both quantitative and qualitative findings from this study reveals important relationships between family caregiver QoL and the care provided, including the impact of social support and financial well-being. The study findings could have significant impact, particularly for the provision of much needed support for family caregivers.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Daren K. Heyland ◽  
J. Paige Pope ◽  
Xuran Jiang ◽  
Andrew G. Day

Abstract Background People are living longer than ever before. However, with living longer comes increased problems that negatively impact on quality of life and the quality of death. Tools are needed to help individuals assess whether they are practicing the best attitudes and behaviors that are associated with a future long life, high quality of life, high quality of death and a satisfying post-death legacy. The purpose of paper is to describe the process we used to develop a novel questionnaire (“Preparedness for the Future Questionnaire™ or Prep FQ”) and to define its psychometric properties. Methods Using a multi-step development procedure, items were generated, for the new questionnaire after which the psychometric properties were tested with a heterogeneous sample of 502 Canadians. Using an online polling panel, respondents were asked to complete demographic questions as well as the Prep-FQ, Global Rating of Life Satisfaction, the Keyes Psychological Well-Being scale and the Short-Form 12. Results The final version of the questionnaire contains 34 items in 8 distinct domains (“Medico-legal”, “Social”, “Psychological Well-being”, “Planning”, “Enrichment”, “Positive Health Behaviors”, “Negative Health Behaviors”, and “Late-life Planning”). We observed minimum missing data and good usage of all response options. The average overall Prep FQ score is 51.2 (SD = 13.3). The Cronbach alphas assessing internal reliability for the Prep FQ domains ranged from 0.33 to 0.88. The intra-class correlation coefficient (ICC) used to assess the test–retest reliability had an overall score of 0.87. For the purposes of establishing construct validity, all the pre-specified relationships between Prep FQ and the other questionnaires were met. Conclusion Analyses of this novel measure offered support for its face validity, construct validity, test–retest reliability, and internal consistency. With the development of this useful and valid scale, future research can utilize this measure to engage people in the process of comprehensively assessing and improving their state of preparedness for the future, tracking their progress along the way. Ultimately, this program of research aims to improve the quality and quantity of peoples live by helping them ‘think ahead’ and ‘plan ahead’ on the aspects of their daily life that matter to their future.


1994 ◽  
Vol 3 (1) ◽  
pp. 83-98
Author(s):  
Richard D. Lamm

The single greatest challenge facing managers in the developed countries of the world is to raise the productivity of knowledge and service workers. This challenge, which will dominate the management agenda for the next several decades, will ultimately determine the competitive performance of companies. Even more important, it will determine the very fabric of society and the quality of life of every industrialized nation. … Unless this challenge is met, the developed world will face increasing social tensions, increasing polarization, increasing radicalization, possibly even class war.


Author(s):  
Afanasyeva T.G. ◽  
Lavrova N.N. ◽  
Tumentseva V.R.

Rhinitis is an inflammation of the nasal mucosa; today, according to the World Health Organization, the prevalence of the disease is 40% of the world's population. Allergic rhinitis is the most common type of chronic rhinitis, affecting 10–20% of the world's population, and the severity of the disease is associated with a significant deterioration in the quality of life, sleep and performance. Allergic rhinitis is an inflammatory disease of the nasal mucosa caused by exposure to an allergen, causing IgE-mediated inflammation. Clinically, the disease is characterized by the following main symptoms: rhinorrhea, sneezing, itching and nasal congestion. Despite the general symptoms of allergic rhinitis, its impact on the quality of life of patients and the significant cost of treatment, including pharmacotherapy, many patients do not adhere to drug treatment regimens due to their insufficient effectiveness in eliminating the emerging symptoms. Pharmacoeconomic research identifies, measures and compares the costs and effects of drug use. This framework includes research methods related to cost minimization, cost-effectiveness, decision analysis, cost of illness, and patient quality of life. This article will consider one of the four main methods for assessing pharmacoeconomics - cost minimization analysis. A cost-minimization analysis is a pharmacoeconomic assessment by comparing the costs of two or more drug alternatives regardless of outcome. Since the pharmaceutical market is represented by a wide range of original, reference and generic drugs for the treatment of allergic rhinitis, an important aspect of our research is the selection of effective and economically acceptable therapy for outpatients.


2021 ◽  
Vol 19 ◽  
Author(s):  
Jen Sze Ong ◽  
Shuet Nee Wong ◽  
Alina Arulsamy ◽  
Jessica L. Watterson ◽  
Mohd. Farooq Shaikh

: Epilepsy is a devastating neurological disorder that affects nearly 70 million people worldwide. Epilepsy causes uncontrollable, unprovoked and unpredictable seizures that reduces the quality of life of those afflicted, with 1-9 epileptic patient deaths per 1000 patient occurring annually due to sudden unexpected death in epilepsy (SUDEP). Predicting the onset of seizures and managing them may help patients from harming themselves and may improve their well-being. For a long time, electroencephalography (EEG) devices have been the mainstay for seizure detection and monitoring. This systematic review aimed to elucidate and critically evaluate the latest advancements of medical devices, besides EEG, that have been proposed for the management and prediction of epileptic seizures. A literature search was performed on three databases; PubMed, Scopus and EMBASE. Following title/abstract screening by two independent reviewers, 27 articles were selected for critical analysis in this review. These articles revealed ambulatory, non-invasive and wearable medical devices such as the in-ear EEG devices, the accelerometer-based devices and the subcutaneous implanted EEG devices might be more acceptable than traditional EEG systems. In addition, extracerebral signal-based devices may be more efficient than EEG-based systems, especially when combined with an intervention trigger. Although further studies may still be required to improve and validate these proposed systems before commercialization, these findings may give hope to epileptic patients, particularly those with refractory epilepsy, to predict and manage their seizures. The use of medical devices for epilepsy may improve patients' independence and quality of life and possibly prevent sudden unexpected death in epilepsy (SUDEP).


2021 ◽  
pp. 237-252
Author(s):  
Elena Laudante

The paper focuses on the importance of robotics and artificial intelligence inside of the new urban contexts in which it is possible to consider and enhance the different dimensions of quality of life such as safety and health, environmental quality, social connection and civic participation. Smart technologies help cities to meet the new challenges of society, thus making them more livable, attractive and responsive in order to plan and to improve the city of the future. In accordance with the Agenda 2030 Program for sustainable development that intends the inclusive, safe, resilient and sustainable city, the direction of growth and prosperity of urban environments is pursued by optimizing the use of resources and respecting the environment. In the current society, robotic technology is proposed as a tool for innovation and evolution in urban as well as industrial and domestic contexts. On the one hand the users-citizens who participate dynamically in the activities and on the other the new technological systems integrated in the urban fabric. Existing urban systems that are “amplified” of artificial and digital intelligence and give life to smart cities, physical places that allow new forms of coexistence between humans and robots in order to implement the level of quality of life and define “human centered” innovative solutions and services thus responding to the particular needs of people in an effective and dynamic way. The current city goes beyond the definition of smart city. In fact, as said by Carlo Ratti, it becomes a "senseable city", a city capable of feeling but also sensitive and capable of responding to citizens who define the overall performance of the city. The multidisciplinary approach through the dialogue between designers, architects, engineers and urban planners will allow to face the new challenges through the dynamics of robot integration in the urban landscape. The cities of the future, in fact, will be pervaded by autonomous driving vehicles, robotized delivery systems and light transport solutions, in response to the new concept of smart mobility, on a human scale, shared and connected mobility in order to improve management and control of the digitized and smart city. Automation at constant rates as the keystone for urban futures and new models of innovative society. Through the identification of representative case studies in the field of innovative systems it will be possible to highlight the connections between design, smart city and "urban" robotics that will synergically highlight the main "desirable" qualities of life in the city as a place of experimentation and radical transformations. In particular, parallel to the new robotic solutions and human-robot interactions, the design discipline will be responsible for designing the total experience of the user who lives in synergy with the robots, thus changing the socio-economic dynamics of the city.


2019 ◽  
Vol 4 (2) ◽  
pp. 223
Author(s):  
YUSRIALIS YUSRIALIS ◽  
KHORNELIS DEHOUTMAN

This study aims to determine and analyze the urgency of Zakat Intensification in Riau province which is an absolute thing to improve the collection results so that it can improve the quality of life and create sustainable community welfare in Riau Province. Technical research was carried out using literature and observation methods. The results showed that the Intensification of Zakat in Riau Province Urgen (Important and Urgent) to be immediately carried out by the Regional Government of Riau Province together with the Legislature and Zakat Institutions and other elements of society, is useful so that the people of Riau Province can play an active role (participate) better in the future. in management, especially in maximizing the collection of Zakat, Utilization and new initiatives for the revival of Zakat in Riau. Recovery in people who are reluctant to give zakat needs to be done. One way is: by regulating sanctions, both criminal in the Regional Regulation for anyone Muslim and Muslim who do not want to deposit their zakat is recorded and given proportional sanctions, the point is to maximize zakat. More importantly, the intensification of zakat must be able to bring prosperity, prosperity and justice to all communities in Riau Province, and the need for synergy between the Regional Government of Riau Province with Baznas and LAZNAS to create various programs to intensify the collection of Zakat in Riau


2009 ◽  
Vol 54 (6) ◽  
pp. 1098-1107 ◽  
Author(s):  
Eduardo Lacson Jr ◽  
Jianglin Xu ◽  
Shu-Fang Lin ◽  
Sandie Guerra Dean ◽  
J. Michael Lazarus ◽  
...  

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